A3301 A Novel hierarchical medical system improved the effect of hypertension management in Shenzhen Futian, China

Abstract

Objectives: This study aimed to implement a novel hierarchical medical system of hypertension, and improved the effect of hypertension management in Futian, China. Methods: To establish a novel hierarchical medical system of hypertension by series of measures: taking the Futian hospital for prevention and treatment of Chronic Disease as the bridge of regional hierarchical medical system to develop and implement the strategy of hypertension management, building regional medical association, promulgating hierarchical medical programme, setting up a discipline alliance, enhancing the ability of health care, modifying two-way referral service process. Results: A novel hierarchical medical system of hypertension in Futian was established successfully since July 2016, in which the hospital for prevention and treatment of Chronic Disease played a important role as the bridge to difference level medical institution and hypertension management.Evaluation shown that The number of patients with hypertension attending community health center increased by 18.2% and 26.9% compared with the same period before implementation of hierarchical medical system. The increment speed of standardized management for hypertension and diabetes patients were more than 3 times and 2.18 times compared with the same period before implementation of hierarchical medical system. The patients’ satisfaction for the medical system was high. Conclusion: The novel hierarchical medical system of hypertension in Shenzhen Futian, China is satisfactory to improved the effect of hypertension management, which is high quality model of hierarchical medical system, and is worth extending to other place.